Healthcare Provider Details

I. General information

NPI: 1205134582
Provider Name (Legal Business Name): PINNACLE HEALTH FACILITIES XXXII LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2011
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E WOOD ST
CLEARWATER KS
67026-9757
US

IV. Provider business mailing address

5420 W PLANO PKWY
PLANO TX
75093-4823
US

V. Phone/Fax

Practice location:
  • Phone: 620-584-2271
  • Fax: 620-584-2277
Mailing address:
  • Phone: 972-931-3800
  • Fax: 972-931-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateKS

VIII. Authorized Official

Name: MR. THOMAS D SCOTT
Title or Position: MANAGER
Credential:
Phone: 972-931-3800